ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Although interstitial cystitis is a fairly uncommon cause of cystitis in patients, it is one that is frequently misdiagnosed as either bacterial, urological or gynecological in origin. Interstitial cystitis is a chronic inflammatory condition of unknown etiology, involving the bladder wall. The patient is usually a middle-aged female with presenting symptoms of 1) subacute development of pain on bladder filling, 2) urinary frequency unrelieved at night and 3) urgency. Patients complain of a varying degree of symptoms over several months or years without complete relief at any time, regardless of antibiotic treatment. The urine culture is negative and the only physical examination finding may be some urethral/vaginal tenderness. With careful attention to the symptom complex and accurate diagnostic testing, the diagnosis can be confirmed. This article summarizes the etiology, signs and symptoms, diagnostic criteria and treatment modalities for interstitial cystitis; patient-counseling suggestions are provided.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

This article reports two studies that replicate previous investigations of the effectiveness of Chemstrip bG, Dextrostix and Visidex for making nursing assessments of hypoglycemia in the newborn. The article also describes a third study that combines results of the first two studies with results of previous studies in the literature in an attempt to improve the reliability and validity of the findings. In the first study, 102 blood samples were tested using either Chemstrip bG or Dextrostix and then compared with laboratory blood glucose levels. Because of the small number of hypoglycemic samples, a second study was devised in which six samples of cord blood were artificially titrated to known levels of glucose. In this study, Visidex as well as Chemstrip bG and Dextrostix were used. Eighty-five percent, 50 percent and 90.4 percent of the hypoglycemic samples were detected by Chemstrip bG, Dextrostix and Visidex, respectively. Data available in the literature from previous studies investigating the same question were then compiled and analyzed. The composite sample of 402 infants for Dextrostix and 484 for Chemstrip bG resulted in the finding that less than half of the hypoglycemic infants tested with Dextrostix were detected whereas Chemstrip bG detected 90 percent of them. The conclusion reached is that both Chemstrip bG and Visidex can be considered adequate screening techniques for nursing assessment of hypoglycemia in the newborn, while visually read Dextrostix is unacceptable in clinical practice.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Smoking is one of the major health issues of our century. It is clearly a detrimental health behavior that costs millions of dollars annually and undisputed morbidity and mortality. There is considerable interest among health care providers in assisting smokers in the cessation of this destructive personal habit. This article covers indirect measures (including environmental strategies) and direct measures to influence the smoking behavior of patients. Direct measures covered include the most appropriate delivery of anti-smoking information, an evaluation of legitimate and organized smoking cessation resources, and tips on assisting patients with their smoking cessation and cessation maintenance efforts. Through an understanding of the individual patient, his or her unique history and needs, and the basic design of the most popular smoking cessation strategies, the clinician can most effectively assist patients in the initiation, development and maintenance of patient cigarette smoking cessation efforts.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Nurse practitioners continue to struggle to find avenues for professional fulfillment. Urgent care or ambulatory care centers (ACCs) may, because of their need to respond to consumer demands for more comprehensive services, offer nurse practitioners a unique opportunity to establish productive primary care practices based on the concepts of total patient care. A model for such a practice has operated successfully since 1983, establishing that both professional and business success can result from the collaborative efforts of nurse practitioners and physicians in an ACC setting.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

The purpose of this study was to observe changes in plasma nitroglycerin levels, systolic and diastolic blood pressure, and apical heart rate after the administration of nitro-glycerin ointment to selected sites. The sample consisted of 15 subjects with a diagnosis of coronary artery disease. The four application sites used were the fifth intercostal space of the left anterior chest, medial aspect of the left upper arm, medial aspect of the left thigh, and medial aspect of the left lower leg. There was no statistically significant difference in plasma nitroglycerin levels and diastolic blood pressure to site of application. Mean systolic blood pressure was significantly lower (p<0.05) for the upper arm and anterior chest sites than for the thigh and ankle at both 75 and 90 minutes. Mean heart rate was significantly higher (p<0.05) for the anterior chest than for the ankle at 45 and 60 minutes.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Pain is a feared but universal experience. Early pain theories focused on locating neurological pain fibers. However, when surgical interventions failed to control the pain, other explanations were sought. The interplay between practice and research has advanced our understanding and management of pain. Current pain theories explain pain as a physical, psychological and social experience. Nursing interventions that are multidimensional will have a better chance at ameliorating a patient's pain.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID